The efficacy of Trauma Management Therapy: A controlled pilot investigation of a three-week intensive outpatient program for combat-related PTSD
The efficacy of Trauma Management Therapy: A controlled pilot investigation of a three-week intensive outpatient program for combat-related PTSD
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DOI：
10.1016/j.janxdis.2017.05.001
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发表时间：
2017-08-01
影响因子：
10.3
通讯作者：
Lejuez, Carl W.
中科院分区：
文献类型：
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作者：
Beidel, Deborah C.;Frueh, B. Christopher;Lejuez, Carl W.
尽管有 8-18.5% 的伊拉克自由行动 (OIF)、持久自由行动 (OEF) 和新黎明行动 (OND) 退伍军人患有创伤后应激障碍 (PTSD)，但很少有人接受经验支持的治疗。在那些接受治疗的人中，退出率很高，超过 50% 的人在治疗后保留了诊断。这项研究评估了以为期 3 周的强化门诊 (IOP) 形式提供的创伤管理治疗 (TMT) 的疗效。 TMT 将虚拟现实增强个人暴露疗法与团体干预相结合，以解决社会孤立、愤怒和抑郁问题。一百一十二 (112) 名 OIF/OEF/OND 退伍军人和现役人员参加。评估包括治疗后、3 个月和 6 个月随访时进行的 PTSD、睡眠、抑郁、愤怒、内疚和社会孤立等指标。以 IOP 格式提供的 TMT 的效应大小为 2.06，其中 65.9% 不再符合 PTSD 的诊断标准。其他领域也有类似的积极作用，并且治疗效果在 6 个月的随访中得以维持。研究结果讨论了对能够安全、快速实施的有效、多成分干预措施的需求，以及这种方法实现这一目标的潜力。
Despite the 8-18.5% of returning Operation Iraqi Freedom (OIF), Operation Enduring Freedom (OEF) and Operation New Dawn (OND) veterans who are suffering from posttraumatic stress disorder (PTSD), few receive empirically supported treatments. Among those that do, the dropout rate is high and more than 50% retain their diagnosis after treatment. This study evaluated the efficacy of Trauma Management Therapy (TMT), delivered in a 3-week intensive outpatient (IOP) format. TMT combines virtual-reality augmented individual exposure therapy with a group intervention to address social isolation, anger, and depression. One hundred twelve (112) OIF/OEF/OND veterans and active duty personnel participated. Assessment included measures of PTSD, sleep, depression, anger, guilt, and social isolation, administered at post-treatment, 3-month, and 6-month follow-up. The effect size for TMT delivered in an IOP format was 2.06, with 65.9% no longer meeting diagnostic criteria for PTSD. There were similar positive effects in other domains and treatment gains were maintained at 6-month follow-up. The results are discussed regarding the need for efficacious, multi-component interventions that can be delivered safely and rapidly, and the potential of this approach towards that end.